Surgical Outcomes of Concurrent Intraperitoneal Onlay Meshplasty and Laparoscopic Cholecystectomy: A Retrospective Observational Study
Introduction: Laparoscopic Cholecystectomy (LC) and Intraperitoneal Onlay Meshplasty (IPOM) have established themselves as standard and popular surgeries for gallstone disease and ventral hernia, respectively. However, their concurrent performance for co-existing gallstone disease and ventral hernia...
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JCDR Research and Publications Private Limited
2025-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/20479/74466_CE[Ra1]_F(SL)_QC(PS_IS)_PF1(VD_OM_SS)_PFA(SS)_PB(VD_IS)_PN(IS).pdf |
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| author | Prachi Praveen Agrawal Abhijit S Joshi |
| author_facet | Prachi Praveen Agrawal Abhijit S Joshi |
| author_sort | Prachi Praveen Agrawal |
| collection | DOAJ |
| description | Introduction: Laparoscopic Cholecystectomy (LC) and Intraperitoneal Onlay Meshplasty (IPOM) have established themselves as standard and popular surgeries for gallstone disease and ventral hernia, respectively. However, their concurrent performance for co-existing gallstone disease and ventral hernia has never been studied.
Aim: To determine the outcomes of the concurrent performance of LC and IPOM in patients with co-existing gallstone disease and ventral hernia.
Materials and Methods: This retrospective observational study was conducted at the Department of General and Laparoscopic Surgery, Dr. L H Hiranandani Hospital, Mumbai, India from August 2005 to July 2024. Over 19 years, 15 patients with coexisting gallstone disease and ventral hernia (primary/recurrent) were operated upon in a single sitting. The following outcomes were studied: duration of surgery, intra and postoperative complications including mesh infection, duration of hospital stay, recurrence of hernia, time taken to resume normal activity, and cost of treatment. Proportions, percentages, and means were calculated.
Results: The mean age of the patients was 55±12.36 years (range 35-77 years). The average duration of surgery was 62 minutes (range 48-70 minutes). There was no conversion to open surgery. The mean postoperative stay was 2.5 days. Total 3 (20%) patients developed seromas, which were identified on day 10. All three seromas were small in size, managed conservatively, and resolved by six weeks. No patient experienced any significant intra- or postoperative haemorrhage. There was no superficial or deep surgical site infection, and there was not a single case of mesh infection. There was no recurrence of the hernia. Patients resumed normal activity in an average of seven days. The total cost of concurrent treatment for both conditions was reduced by 28% compared to the sum of costs, if both operations had been done separately in two separate hospital stays at present Institution.
Conclusion: Concurrent LC and IPOM is a safe, practical, and cost-effective procedure in carefully selected patients. |
| format | Article |
| id | doaj-art-d76f677e04ca47178988b45b68109d6a |
| institution | Kabale University |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-d76f677e04ca47178988b45b68109d6a2025-01-15T11:27:18ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-01-011901050810.7860/JCDR/2025/74466.20479Surgical Outcomes of Concurrent Intraperitoneal Onlay Meshplasty and Laparoscopic Cholecystectomy: A Retrospective Observational StudyPrachi Praveen Agrawal0Abhijit S Joshi1DNB Reisdent, Department of General Surgery, Dr. L H Hiranandani Hospital, Mumbai, Maharashtra, India.Consultant, Department of General and Advanced Laparoscopic Surgery, Dr. L H Hiranandani Hospital, Mumbai, Maharashtra, India.Introduction: Laparoscopic Cholecystectomy (LC) and Intraperitoneal Onlay Meshplasty (IPOM) have established themselves as standard and popular surgeries for gallstone disease and ventral hernia, respectively. However, their concurrent performance for co-existing gallstone disease and ventral hernia has never been studied. Aim: To determine the outcomes of the concurrent performance of LC and IPOM in patients with co-existing gallstone disease and ventral hernia. Materials and Methods: This retrospective observational study was conducted at the Department of General and Laparoscopic Surgery, Dr. L H Hiranandani Hospital, Mumbai, India from August 2005 to July 2024. Over 19 years, 15 patients with coexisting gallstone disease and ventral hernia (primary/recurrent) were operated upon in a single sitting. The following outcomes were studied: duration of surgery, intra and postoperative complications including mesh infection, duration of hospital stay, recurrence of hernia, time taken to resume normal activity, and cost of treatment. Proportions, percentages, and means were calculated. Results: The mean age of the patients was 55±12.36 years (range 35-77 years). The average duration of surgery was 62 minutes (range 48-70 minutes). There was no conversion to open surgery. The mean postoperative stay was 2.5 days. Total 3 (20%) patients developed seromas, which were identified on day 10. All three seromas were small in size, managed conservatively, and resolved by six weeks. No patient experienced any significant intra- or postoperative haemorrhage. There was no superficial or deep surgical site infection, and there was not a single case of mesh infection. There was no recurrence of the hernia. Patients resumed normal activity in an average of seven days. The total cost of concurrent treatment for both conditions was reduced by 28% compared to the sum of costs, if both operations had been done separately in two separate hospital stays at present Institution. Conclusion: Concurrent LC and IPOM is a safe, practical, and cost-effective procedure in carefully selected patients.https://jcdr.net/articles/PDF/20479/74466_CE[Ra1]_F(SL)_QC(PS_IS)_PF1(VD_OM_SS)_PFA(SS)_PB(VD_IS)_PN(IS).pdfcholecystitiscross-infectionmesh infectionrecurrencesurgical site infectionventral hernia |
| spellingShingle | Prachi Praveen Agrawal Abhijit S Joshi Surgical Outcomes of Concurrent Intraperitoneal Onlay Meshplasty and Laparoscopic Cholecystectomy: A Retrospective Observational Study Journal of Clinical and Diagnostic Research cholecystitis cross-infection mesh infection recurrence surgical site infection ventral hernia |
| title | Surgical Outcomes of Concurrent Intraperitoneal Onlay Meshplasty and Laparoscopic Cholecystectomy: A Retrospective Observational Study |
| title_full | Surgical Outcomes of Concurrent Intraperitoneal Onlay Meshplasty and Laparoscopic Cholecystectomy: A Retrospective Observational Study |
| title_fullStr | Surgical Outcomes of Concurrent Intraperitoneal Onlay Meshplasty and Laparoscopic Cholecystectomy: A Retrospective Observational Study |
| title_full_unstemmed | Surgical Outcomes of Concurrent Intraperitoneal Onlay Meshplasty and Laparoscopic Cholecystectomy: A Retrospective Observational Study |
| title_short | Surgical Outcomes of Concurrent Intraperitoneal Onlay Meshplasty and Laparoscopic Cholecystectomy: A Retrospective Observational Study |
| title_sort | surgical outcomes of concurrent intraperitoneal onlay meshplasty and laparoscopic cholecystectomy a retrospective observational study |
| topic | cholecystitis cross-infection mesh infection recurrence surgical site infection ventral hernia |
| url | https://jcdr.net/articles/PDF/20479/74466_CE[Ra1]_F(SL)_QC(PS_IS)_PF1(VD_OM_SS)_PFA(SS)_PB(VD_IS)_PN(IS).pdf |
| work_keys_str_mv | AT prachipraveenagrawal surgicaloutcomesofconcurrentintraperitonealonlaymeshplastyandlaparoscopiccholecystectomyaretrospectiveobservationalstudy AT abhijitsjoshi surgicaloutcomesofconcurrentintraperitonealonlaymeshplastyandlaparoscopiccholecystectomyaretrospectiveobservationalstudy |